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患者女,61岁,因反复头昏,心慌,胸闷十余年伴颜面、眼脸浮种、颈部种张半年。以原发性高血压病于1988年11月12日收入院。体检:BP23/15kPa,颜面、双眼脸浮肿,颈部肿胀明显,甲状腺不肿大。未扪及异常包块,全身浅表淋巴结未扪及,胸部对称,呼吸动度一致,心界不大,心律齐,各瓣区未闻及病理性杂音。双肾区无叩击痛,双下肢不肿。B超、超声心动图正常。ECG:原发性T波改变,Q—T轻度延长。胸片:右肺门浓大,肺纹纤细紊乱,心影示左心缘丰盈,主动脉膨隆迂曲。
Female patient, 61 years old, due to repeated dizziness, palpitation, chest tightness more than ten years with face, eyes and face floating seeds, neck species Zhang for half a year. With essential hypertension in November 12, 1988 income hospital. Physical examination: BP23 / 15kPa, face, eyes face edema, neck swelling obvious, thyroid enlargement. No palpable abnormal mass, the body superficial lymph nodes are not palpable, chest symmetry, consistent breathing, the heart is not big, heart Qi Qi, the valve area is not heard and pathological murmur. Perling area without percussion pain, both lower extremity is not swollen. B ultrasound, echocardiography normal. ECG: Primary T-wave changes, Q-T slightly prolonged. Chest X-ray: thick right hilar, lung pattern fine stenosis, cardiac arrhythmia, left heart margin, tortuous aorta bulging.